How much rates vary
Facilitymedian $776 · 10th to 90th $186 to $2,089Professionalmedian $251 · 10th to 90th $112 to $575
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $316.23 Median $1,380.38 Typical High $2,398.83 | Facility | None | $316.23 | $1,380.38 | $2,398.83 |
Aetna Setting Professional Modifier None (both parts) Typical Low $251.19 Median $275.42 Typical High $549.54 | Professional | None (both parts) | $251.19 | $275.42 | $549.54 |
Aetna Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $69.18 Typical High $144.54 | Professional | 26 · Professional part | $63.10 | $69.18 | $144.54 |
Aetna Setting Professional Modifier TC · Technical part Typical Low $186.21 Median $186.21 Typical High $389.05 | Professional | TC · Technical part | $186.21 | $186.21 | $389.05 |
Ambetter Setting Professional Modifier None (both parts) Typical Low $181.97 Median $181.97 Typical High $199.53 | Professional | None (both parts) | $181.97 | $181.97 | $199.53 |
Ambetter Setting Professional Modifier 26 · Professional part Typical Low $69.18 Median $69.18 Typical High $120.23 | Professional | 26 · Professional part | $69.18 | $69.18 | $120.23 |
AvMed Setting Facility Modifier None Typical Low $125.89 Median $239.88 Typical High $446.68 | Facility | None | $125.89 | $239.88 | $446.68 |
AvMed Setting Professional Modifier None (both parts) Typical Low $154.88 Median $199.53 Typical High $457.09 | Professional | None (both parts) | $154.88 | $199.53 | $457.09 |
Cigna Setting Facility Modifier None Typical Low $190.55 Median $776.25 Typical High $1,096.48 | Facility | None | $190.55 | $776.25 | $1,096.48 |
Cigna Setting Professional Modifier None (both parts) Typical Low $190.55 Median $371.54 Typical High $851.14 | Professional | None (both parts) | $190.55 | $371.54 | $851.14 |
Cigna Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $64.57 Typical High $158.49 | Professional | 26 · Professional part | $58.88 | $64.57 | $158.49 |
Cigna Setting Professional Modifier TC · Technical part Typical Low $131.83 Median $269.15 Typical High $691.83 | Professional | TC · Technical part | $131.83 | $269.15 | $691.83 |
Florida Blue Setting Facility Modifier None Typical Low $512.86 Median $1,122.02 Typical High $2,398.83 | Facility | None | $512.86 | $1,122.02 | $2,398.83 |
Florida Blue Setting Professional Modifier None (both parts) Typical Low $302.00 Median $512.86 Typical High $630.96 | Professional | None (both parts) | $302.00 | $512.86 | $630.96 |
Florida Blue Setting Professional Modifier 26 · Professional part Typical Low $58.88 Median $89.13 Typical High $117.49 | Professional | 26 · Professional part | $58.88 | $89.13 | $117.49 |
Florida Blue Setting Professional Modifier TC · Technical part Typical Low $218.78 Median $407.38 Typical High $512.86 | Professional | TC · Technical part | $218.78 | $407.38 | $512.86 |
Molina Setting Professional Modifier None (both parts) Typical Low $87.10 Median $218.78 Typical High $512.86 | Professional | None (both parts) | $87.10 | $218.78 | $512.86 |
United Setting Facility Modifier None Typical Low $407.38 Median $436.52 Typical High $436.52 | Facility | None | $407.38 | $436.52 | $436.52 |
United Setting Professional Modifier None (both parts) Typical Low $223.87 Median $323.59 Typical High $660.69 | Professional | None (both parts) | $223.87 | $323.59 | $660.69 |
United Setting Professional Modifier 26 · Professional part Typical Low $63.10 Median $74.13 Typical High $151.36 | Professional | 26 · Professional part | $63.10 | $74.13 | $151.36 |
United Setting Professional Modifier TC · Technical part Typical Low $169.82 Median $251.19 Typical High $524.81 | Professional | TC · Technical part | $169.82 | $251.19 | $524.81 |
Wellpoint Setting Professional Modifier None (both parts) Typical Low $208.93 Median $208.93 Typical High $208.93 | Professional | None (both parts) | $208.93 | $208.93 | $208.93 |
Wellpoint Setting Professional Modifier 26 · Professional part Typical Low $61.66 Median $61.66 Typical High $61.66 | Professional | 26 · Professional part | $61.66 | $61.66 | $61.66 |
Wellpoint Setting Professional Modifier TC · Technical part Typical Low $147.91 Median $147.91 Typical High $147.91 | Professional | TC · Technical part | $147.91 | $147.91 | $147.91 |
3 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $125.89 Median $125.89 Typical High $223.87 | Professional | 52 · Reduced service | $125.89 | $125.89 | $223.87 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $50.12 Median $50.12 Typical High $89.13 | Professional | 53 · Discontinued | $50.12 | $50.12 | $89.13 |
Aetna Setting Professional Modifier FX · Film X-ray Typical Low $199.53 Median $199.53 Typical High $338.84 | Professional | FX · Film X-ray | $199.53 | $199.53 | $338.84 |
Where Florida sits
The same service costs 5.6 times more in Wyoming than in Texas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Florida· 49th of 51
$251
WY $1,072TX $191
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.